Exam 12: Somatoform Disorders and Dissociative Disorders

To assist a patient with a somatic system disorder,a nursing intervention of high priority is to:

A patient with a somatic symptom disorder has the nursing diagnosis: Interrupted family processes,related to patient's disabling symptoms as evidenced by spouse and children assuming roles and tasks that previously belonged to patient.An appropriate outcome is that the patient will:

To plan effective care for patients with somatic system disorders,the nurse should understand that patients have difficulty giving up the symptoms because the symptoms:

A person comes to the clinic reporting,"I wear a scarf across my lower face when I go out but because of my ugly appearance." Assessment reveals an average appearance with no actual disfigurement.Which problem is most likely?

A patient with predominant pain disorder has been in treatment for 4 weeks.The patient says,"Although I'm still having pain,I notice it less and am able to perform more activities." The nurse should evaluate the treatment plan as:

A patient who fears serious heart disease was referred to the mental health center by a cardiologist after extensive diagnostic evaluation showed no physical illness.The patient says,"I have tightness in my chest and my heart misses beats.I'm frequently absent from work.I don't go out much because I need to rest." Which health problem is most likely?

A nurse assesses a patient diagnosed with functional neurological (conversion)disorder.Which comment is most likely from this patient?

A patient reports fears of having cervical cancer and says to the nurse,"I've had Pap smears by six different doctors.The results are normal,but I'm sure that's because of errors in the laboratory." Which disorder would the nurse suspect?

An essential difference between somatic system disorders and dissociative disorders is:

Select the correct etiology to complete this nursing diagnosis for a patient with dissociative identity disorder.Disturbed personal identity,related to:

A nurse counsels a patient diagnosed with body dysmorphic disorder.Which nursing diagnosis would be a priority for the plan of care?

A patient says,"I feel detached and weird all the time,like I'm looking at life through a cloudy window.Everything seems unreal.These feelings really interfere with my work and study." Which term should the nurse use to document this complaint?

A nurse assessing a patient with a somatic system disorder is most likely to note that the patient:

For a patient with dissociative amnesia,complete this outcome: Within 4 weeks,the patient will demonstrate an ability to execute complex mental processes by:

A college student observes a roommate going out wearing uncharacteristically seductive clothing,returning 12 to 24 hours later and sleeping for 8 to 12 hours.At other times,the roommate sits on the floor speaking like a young child.Which health problem should be considered?

A medical-surgical nurse works with a patient diagnosed with a somatic system disorder.Care planning is facilitated by understanding that the patient will probably:

A nurse assesses a patient suspected to have complex somatic system disorder.Which findings support the diagnosis? Select all that apply.

A patient says,"I know I have a brain tumor despite the results of the magnetic resonance image (MRI).The radiologist is wrong.People who have brain tumors vomit,and yesterday I vomited all day." Which response by the nurse fosters cognitive restructuring?

A patient with predominant pain disorder says,"Why has God chosen me to be sick all the time and unable to provide for my family? The burden on my family is worse than the pain I bear." Which nursing diagnoses apply to this patient? Select all that apply.

A nurse counseling a patient with a dissociative identity disorder should understand that the assessment of highest priority is: